Small bowel bacterial overgrowth is a condition in which very large numbers of bacteria grow in the small intestine.
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Most of the time, unlike the large intestine, the small intestine does not have a large number of bacteria. Excess bacteria in the small intestine may use up the nutrients needed by the body. As a result, a person may become malnourished.
The breakdown of nutrients by the excess bacteria can also damage the lining of the small intestine. This can make it even harder for the body to absorb nutrients.
Conditions that can lead to overgrowth of bacteria in the small intestine include:
Complications of diseases or surgery that create pouches or blockages in the small intestine. Crohn disease is one of these conditions.
Small bowel diverticulosis, in which small, and at times large sacs occur in the inner lining of the intestine. These sacs allow too many bacteria to grow. These sacs are much more common in the large bowel.
Surgical procedures that create a loop of small intestine where excess bacteria can grow. An example is a Billroth II type of stomach removal (gastrectomy).
Some cases of irritable bowel syndrome (IBS).
The most common symptoms are:
Abdominal pain and cramps
Diarrhea (most often watery)
Other symptoms may include:
Exams and Tests
Your health care provider will perform a physical exam and ask about your medical history. Tests may include:
Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.